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Individual
VANCE R LASSEY
Active
Individual
VANCE R LASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0431904
KS
207Q00000X
Family Medicine Physician
6104
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103826
BLUE CROSS/BLUE SHIELD
KS
01
—
106429
MEDICARE ID UNSPECIFIED
KS
05
—
200441800A
—
KS
Enumeration date
02/23/2006
Last updated
03/23/2021
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